Novel treatment options for Bouveret’s syndrome: a comprehensive review of 61 cases of successful endoscopic treatment
| العنوان: | Novel treatment options for Bouveret’s syndrome: a comprehensive review of 61 cases of successful endoscopic treatment |
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| المؤلفون: | Jacques Devière, Jean-Marc Dumonceau |
| المصدر: | Expert Review of Gastroenterology & Hepatology. 10:1245-1255 |
| بيانات النشر: | Informa UK Limited, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, medicine.medical_treatment, Gallstones, Lithotripsy, 03 medical and health sciences, 0302 clinical medicine, Recurrence, Risk Factors, Gallstone ileus, medicine, Humans, Cholecystectomy, Endoscopy, Digestive System, Gallbladder cancer, Aged, Aged, 80 and over, Hepatology, business.industry, General surgery, Gastroenterology, Gastric outlet obstruction, Syndrome, Middle Aged, medicine.disease, Laser lithotripsy, Surgery, Treatment Outcome, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Duodenum, Female, Stents, 030211 gastroenterology & hepatology, Duodenal Obstruction, business, Endoscopic treatment |
| الوصف: | In Bouveret's syndrome, a biliary stone obstructs the duodenum. Surgical treatment is plagued by high morbidity and mortality. Therefore, endoscopic treatment has become a first-line approach. Areas covered: A literature search of Medline and Google Scholar databases was performed using the terms endoscopic treatment, non-operative treatment, Bouveret's syndrome, and gallstone ileus. Sixty-one cases of successful endoscopic treatment were found over the period 1978-2016 and are summarized herein. Therapeutic modalities used in 52 patients with complete success included mechanical lithotripsy (40% of cases), electrohydraulic lithotripsy (21% of cases), extraction of the intact stone and laser lithotripsy (15% of cases each), extracorporeal shockwave lithotripsy and duodenal stenting (4% of cases each). In the remaining 9 patients, stone fragments migrated distally and required surgical removal. Cholecystectomy was performed in five (8.2%) of 61 patients and gallbladder cancer was detected in three (4.9%) patients. Expert commentary: Meticulous preparation, including that of instruments, personnel, patient anesthesia, and X-ray availability, is key to success in this unusual situation. Partial success (stone fragmentation and mobilization to another location) may render surgery easier as these patients present with dense adherences in the right upper quadrant. Cholecystectomy is reserved for highly selected patients (e.g. relapsing ileus, gallbladder cancer). |
| تدمد: | 1747-4132 1747-4124 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::eeeb0898da5002ba74fd3ff0dec5733d https://doi.org/10.1080/17474124.2016.1241142 |
| رقم الأكسشن: | edsair.doi.dedup.....eeeb0898da5002ba74fd3ff0dec5733d |
| قاعدة البيانات: | OpenAIRE |
PDF full text from Publisher | تدمد: | 17474132 17474124 |
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